| NPI | 1639169980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 2916) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 35837) |
| 183500000X Pharmacist (Licence: NV 07949) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2011-10-17 |