| NPI | 1366763419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36434) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23241) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2017-01-25 |