| NPI | 1255778825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 17284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115318) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |