| NPI | 1215364278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6766) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17649) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |