| NPI | 1972585503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17059) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14291) |
| 183500000X Pharmacist (Licence: ND 5034) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |