| NPI | 1407174816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S018874) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH25549) |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2012-03-06 |