| NPI | 1649337619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 10440) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202207122) |
| 183500000X Pharmacist (Licence: CT 5505) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2013-04-08 |