| NPI | 1558776849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 042782) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-11478) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |