| NPI | 1962514422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 010318) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.017880) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |