| NPI | 1598053100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S018576) |
| Enumeration Date | 2011-07-16 |
| Last Update Date | 2015-04-07 |