| NPI | 1679565246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207229) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP440208) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2012-08-21 |