| NPI | 1164407664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 118437-8) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19851) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2008-12-29 |