| NPI | 1750576070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 99-374031-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 18286) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2015-04-30 |