| NPI | 1376731604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 10775) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6113) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2015-07-13 |