| NPI | 1366494395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12442) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20253) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |