| NPI | 1265762223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5397) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID p6109) |
| 183500000X Pharmacist (Licence: MT 6149) | |
| 183500000X Pharmacist (Licence: WA ph60018657) | |
| 183500000X Pharmacist (Licence: WI 14393-40) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |