| NPI | 1881650745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 14745) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP043326L) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2012-03-24 |