| NPI | 1619267762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0010237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17186) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |