| NPI | 1912244682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 14017) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 22817) |
| 183500000X Pharmacist (Licence: VA 0202209234) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-07-30 |