| NPI | 1487904090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19207) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11858) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2015-09-25 |