| NPI | 1578770830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 4725) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 23364) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |