| NPI | 1417227778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10750) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17890) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |