| NPI | 1326325903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3082) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 11230) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2013-01-03 |