| NPI | 1740239698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43153) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 7501) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-08 |