| NPI | 1861784019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14313) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5305410824) |
| 183500000X Pharmacist (Licence: SC 13250) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |