| NPI | 1649611518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12219) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 19650) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |