| NPI | 1750748612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2012022669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15088) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2016-01-24 |