| NPI | 1982657086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302023083) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 11636) |
| 183500000X Pharmacist (Licence: CA 31841) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |