| NPI | 1023414810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 14053) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 30914) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |