| NPI | 1104984087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 13168-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035880) |
| 183500000X Pharmacist (Licence: TX 33695) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-04-20 |