| NPI | 1669763959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17588) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 12546) |
| 183500000X Pharmacist (Licence: UT 76647361701) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |