| NPI | 1548602030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 8718332-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 14216) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2019-02-14 |