| NPI | 1457632069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 19628) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16923) |
| 183500000X Pharmacist (Licence: MS 12123) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2013-09-05 |