| NPI | 1588911176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 008407) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2220) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |