| NPI | 1811279078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25655) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3360) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2016-11-01 |