| NPI | 1780765842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL 31223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 12662) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-04-07 |