| NPI | 1205937653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 33954) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11378) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |