| NPI | 1730453218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 9341) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 16372) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2013-01-15 |