| NPI | 1154330553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 11850) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18688) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2011-07-14 |