| NPI | 1780911552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15206) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 011561) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |