| NPI | 1568672632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 14254) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 56929) |
| 183500000X Pharmacist (Licence: VA 0202208090) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-10-07 |