| NPI | 1154319895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 18405) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 10616) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-08 |