| NPI | 1043219835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 10315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 23855) |
| 183500000X Pharmacist (Licence: TN 7529) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2007-07-08 |