| NPI | 1225478464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 020256) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: LA 46314) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-09-09 |