| NPI | 1588940282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11958) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2712) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |