| NPI | 1578846747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012027096) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17851) |
| 183500000X Pharmacist (Licence: KS 15468) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2017-04-03 |