| NPI | 1679780142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14152 - 40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6319241-1701) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-01-26 |