| NPI | 1891055836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 14989) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18644) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |