| NPI | 1659358653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 026555) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 16443) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2007-07-08 |