| NPI | 1902167406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17013) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208953) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |