| NPI | 1922216613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19408) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 6831) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2013-10-10 |