| NPI | 1316368400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015404) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 14411) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |