| NPI | 1982021366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21902) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 14097) |
| 183500000X Pharmacist (Licence: GA 27084) | |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-11-07 |