| NPI | 1861745663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP447042) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21767) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-08-16 |