| NPI | 1831560648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 23514) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP450115) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |