| NPI | 1205038346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25285) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI 4144) |
| 183500000X Pharmacist (Licence: CA 52146) | |
| 183500000X Pharmacist (Licence: AZ 12710) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-05-20 |