| NPI | 1891104154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22816) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449022) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2015-02-11 |