| NPI | 1053433482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 65711491701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 36814) |
| 183500000X Pharmacist (Licence: ID P3910) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2008-03-17 |