| NPI | 1780800706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 16673) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37962) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |