| NPI | 1063585107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 12335-040) |
| Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: WI 198114) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |