| NPI | 1609292150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19185) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 18422) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-03-07 |