| NPI | 1619117389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016401) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2002012651) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2013-08-06 |