| NPI | 1962782367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13389) |
| 183500000X Pharmacist (Licence: VA 0202213955) | |
| 183500000X Pharmacist (Licence: GA RPH026384) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-08-31 |