| NPI | 1164653762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC SC6852) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA GA15517) |
| 183500000X Pharmacist (Licence: NC NC16126) | |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2009-07-30 |