| NPI | 1235579863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 18128) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 9291) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |