| NPI | 1205054764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 112191) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 3789) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |