| NPI | 1568664605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 15591) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 23950) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-08 |