| NPI | 1811387343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 045270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18310) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2017-04-06 |