| NPI | 1609123439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12060) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 38611) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |