| NPI | 1104813203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11159) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 43076) |
| 183500000X Pharmacist (Licence: AZ S09340) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |