| NPI | 1790030534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4833) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117235) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |