| NPI | 1790914745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17511) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18288) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |