| NPI | 1558619973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3556) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 7355453-1701) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2016-05-16 |