| NPI | 1255641577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 011855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID p6291) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |