| NPI | 1962837179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 024112) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |