| NPI | 1700874930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 37195) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 40202) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2013-04-18 |