| NPI | 1790085876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 13088) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 4084) |
| Enumeration Date | 2010-10-23 |
| Last Update Date | 2012-10-16 |