| NPI | 1962778225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 10863-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 115685) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |