| NPI | 1932192655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 022328) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 8656) |
| Enumeration Date | 2005-08-28 |
| Last Update Date | 2007-07-08 |