| NPI | 1144352758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 5272) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 22373) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-07-08 |