| NPI | 1194985127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 21259) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 09392) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |