| NPI | 1295006112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 19104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 10733) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |