| NPI | 1588979611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 19093) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 010755) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |