| NPI | 1326465865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21700) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35406) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |