| NPI | 1013290055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3717) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0020042) |
| 183500000X Pharmacist (Licence: NV 18630) | |
| 183500000X Pharmacist (Licence: MT 12244) | |
| 183500000X Pharmacist (Licence: NE 14434) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2014-07-15 |