| NPI | 1750659512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12881) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20891) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |