| NPI | 1982993556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12695) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0011987) |
| 183500000X Pharmacist (Licence: VA 0202208970) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |