| NPI | 1407230014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD R5033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 12285) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-07-13 |