| NPI | 1710205752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 21939) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 03803) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |