| NPI | 1619399391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2013037626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-16259) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |