| NPI | 1336516657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17604) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14830) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |