| NPI | 1790032431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6627) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 8069703-1701) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2016-12-13 |