| NPI | 1720290257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p5631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 13219) |
| 183500000X Pharmacist (Licence: NM 5291) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |