| NPI | 1508237603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11695) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV 4873) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |