| NPI | 1396126058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 017732) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24988) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |