| NPI | 1851761126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 9926) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 1166) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |