| NPI | 1164488433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4847) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117940-6) |
| 183500000X Pharmacist (Licence: TN 11203) | |
| 183500000X Pharmacist (Licence: NC 18033) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |