| NPI | 1861467441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 11510) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 16824) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2007-07-08 |