| NPI | 1285948349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS34866)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013536)  | 
| 183500000X Pharmacist (Licence: TN 0000029346)  | |
| Enumeration Date | 2010-08-01 | 
| Last Update Date | 2010-08-01 |