| NPI | 1750373122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 32918) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 5122) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-07-08 |