| NPI | 1790830594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 021115) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37455) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |