| NPI | 1790026698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 042979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-11583) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |