| NPI | 1750746996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p7396) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19322) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2017-03-27 |