| NPI | 1659365302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 10104) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 38978) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2007-07-08 |