| NPI | 1851302632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12593) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 14518) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2009-08-03 |