| NPI | 1508119256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22389) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208331) |
| 183500000X Pharmacist (Licence: SC 11433) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |