| NPI | 1760758437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 8923) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1185) |
| 183500000X Pharmacist (Licence: VT 3366) | |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |