| NPI | 1235274473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 15296) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36080) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |