| NPI | 1245599182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011026572) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0012919) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2012-05-13 |