| NPI | 1508096371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16369) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209288) |
| 183500000X Pharmacist (Licence: MO 2009025144) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2011-09-26 |