| NPI | 1912343369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16208) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17285) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |