| NPI | 1811271869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 012078) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 043896) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |