| NPI | 1295013209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2011023422) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15439) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-06-10 |