| NPI | 1265518542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 10083) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 4514R) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-07-08 |