| NPI | 1861761595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 019513) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 50524) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2011-12-27 |