| NPI | 1598816969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5183) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012160) |
| 183500000X Pharmacist (Licence: MN 118137-1) | |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |