| NPI | 1750619821 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS e-09501) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41257) | 
| Enumeration Date | 2009-11-30 | 
| Last Update Date | 2009-11-30 |