| NPI | 1992745798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 95-295849-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5141) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |