| NPI | 1629298823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21510) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 14766) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2013-09-01 |