| NPI | 1790984862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4967) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 118045) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |