| NPI | 1578949111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120231) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |