| NPI | 1265425847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2005022608) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 1997) |
| 183500000X Pharmacist (Licence: MN 117764-4) | |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-08 |