| NPI | 1619257615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6563) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6037157-1702) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |