| NPI | 1255331617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 13737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 4494) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |