| NPI | 1720365612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI 3128) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18859) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |