| NPI | 1225255862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 4604) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 17438) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |