| NPI | 1417359522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 017239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24515) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |