| NPI | 1205149630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19965) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12296) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |