| NPI | 1629348594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20681) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16628) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2016-03-18 |