| NPI | 1932474012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 11640) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14330) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |