| NPI | 1063540086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4338) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117206) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |