| NPI | 1306123237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 123333) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20209) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2011-11-06 |