| NPI | 1265804421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0007966) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10555) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |