| NPI | 1508158692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13119) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21053) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2012-08-30 |