| NPI | 1619296324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12590) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20951) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |