| NPI | 1649578154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 10562) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202012399) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |