| NPI | 1962808675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 19856) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 35863) |
| 183500000X Pharmacist (Licence: OK 15329) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |