| NPI | 1245607670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14086) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011290) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |