| NPI | 1669728010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 7775) |
| 183500000X Pharmacist (Licence: SC 12555) | |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |