| NPI | 1184628893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 2774662-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH 60354) |
| 183500000X Pharmacist (Licence: NJ 28RI03257100) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2009-06-17 |