| NPI | 1770870263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000033495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208119) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |