| NPI | 1972053742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 08574) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 6211) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |