| NPI | 1558707901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 13176) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17349) |
| 183500000X Pharmacist (Licence: GA 016253) | |
| 183500000X Pharmacist (Licence: HI PH1532) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |