| NPI | 1700122231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21786) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 5961) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2015-01-21 |