| NPI | 1770843138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 18860) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16293) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2012-05-19 |