| NPI | 1750594511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH00059646) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03260600) |
| 183500000X Pharmacist (Licence: MD 17550) | |
| 183500000X Pharmacist (Licence: PA RP442642) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-12-11 |