| NPI | 1154528214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 13912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202012792) |
| 183500000X Pharmacist (Licence: MI 5302032594) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |