| NPI | 1982039806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 020289) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302042357) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2017-11-15 |