| NPI | 1699759597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 12856) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 7819) |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2007-07-08 |