| NPI | 1780748509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS22651) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 28506) |
| 183500000X Pharmacist (Licence: CO 12262) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |