| NPI | 1801189154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 3578) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 10871) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |