| NPI | 1518249135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015145) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000034426) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |