| NPI | 1003916776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 24162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH R1833) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2007-07-08 |