| NPI | 1114914041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD R5392) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 9093) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2007-07-08 |