| NPI | 1063566560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302034452) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6657611-1701) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-08-28 |