| NPI | 1255636403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 13655) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 20028) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |