| NPI | 1407829617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 25599) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6798) |
| 183500000X Pharmacist (Licence: MA 27035) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-10-12 |