| NPI | 1679946057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0021402) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 18899) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2017-03-01 |