| NPI | 1710024534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 354572-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2001024186) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-09-14 |