| NPI | 1134302615 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 33645)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23352)  | 
| 183500000X Pharmacist (Licence: FL PU 5624)  | |
| Enumeration Date | 2007-12-07 | 
| Last Update Date | 2007-12-07 |