| NPI | 1548516362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 5099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 114861) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |