| NPI | 1366701930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 9661-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 114713) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |