| NPI | 1124009345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 21743) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 22064) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2011-04-22 |