| NPI | 1609881473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 041430) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40044) |
| 183500000X Pharmacist (Licence: MA 15782) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2007-07-08 |