| NPI | 1558683292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 9858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 15458) |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |