| NPI | 1962695296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 009585) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps 23569) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |