| NPI | 1528452976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5664) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016951) |
| 183500000X Pharmacist (Licence: MN 119620) | |
| 183500000X Pharmacist (Licence: LA PST.020533) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |