| NPI | 1982985917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19995) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14343) |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2011-09-03 |