| NPI | 1902874365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS21581) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 10698) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |