| NPI | 1356761019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18656) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11197) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |