| NPI | 1700163011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 23184) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11753) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |