| NPI | 1811249444 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13539)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 31881)  | 
| Enumeration Date | 2012-10-05 | 
| Last Update Date | 2012-10-05 |