| NPI | 1639261589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 5474) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40510) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-05-30 |