| NPI | 1770609778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 16771) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2114) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |