| NPI | 1720295108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 040369) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 11390) |
| 183500000X Pharmacist (Licence: KS 1-13880) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |