| NPI | 1720360324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16715-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH233472) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2013-11-06 |