| NPI | 1972894640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25038) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 4168) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |