| NPI | 1588074520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 10500) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 33325) |
| 183500000X Pharmacist (Licence: NV 10532) | |
| 183500000X Pharmacist (Licence: CA 43465) | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |