| NPI | 1053611434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18695) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS45437) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2013-05-01 |