| NPI | 1750652434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 16665) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 16610) |
| 183500000X Pharmacist (Licence: IL 051036400) | |
| 183500000X Pharmacist (Licence: WI 1247040) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |