| NPI | 1124151634 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 04458) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 26340) | 
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2007-07-08 |