| NPI | 1508953597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 16570) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202207439) |
| 183500000X Pharmacist (Licence: MD 17891) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2010-03-19 |