| NPI | 1407048556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 14992) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16019) |
| 183500000X Pharmacist (Licence: WA PH00060413) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-14 |