| NPI | 1083815526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 21173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2688) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |