| NPI | 1619253127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19221) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 29714) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-30 |