| NPI | 1417391822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 13149) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17184) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |