| NPI | 1891829024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 4556) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 12037) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |