| NPI | 1407279755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 19840) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3646) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |