| NPI | 1407145816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH018888) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302024824) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |