| NPI | 1336158229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 28490) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 4852) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2009-03-18 |