| NPI | 1528379138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18972) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 29414) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2012-03-02 |