| NPI | 1679883250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20975) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2007017628) |
| 183500000X Pharmacist (Licence: PA RP440973) | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |