| NPI | 1790715829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 26549) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3463) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-07-19 |