| NPI | 1700053626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 016216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 25534) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2013-05-24 |