| NPI | 1396154878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10124) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15695) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |