| NPI | 1366734790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 21666) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 3526) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |