| NPI | 1225456148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 11592) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26781) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2017-04-24 |