| NPI | 1730415563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 5973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3297) |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2014-08-08 |