| NPI | 1194053090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 11799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 28140) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |