| NPI | 1740571488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18524) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP441475) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2017-05-15 |