| NPI | 1760408157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 293582-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2785) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |