| NPI | 1477819100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2000175320) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-12990) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |