| NPI | 1982049201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17625) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-13557) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |