| NPI | 1376706606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 013292) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35752) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2016-01-09 |