| NPI | 1316496078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24028) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15017-40) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |