| NPI | 1184601809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 117626-3) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19525) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2007-07-08 |