| NPI | 1366861205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13861) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22850) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |