| NPI | 1912343963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0003743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035457) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |