| NPI | 1487935862 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302036213)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps49557)  | 
| Enumeration Date | 2011-08-30 | 
| Last Update Date | 2018-08-27 |