| NPI | 1538458823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 13207) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 8839-040) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |