| NPI | 1245512276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 019134) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21651) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2012-02-27 |