| NPI | 1326174764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 2815) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 25940) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |