| NPI | 1386615649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps0034545) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-12-28 |