| NPI | 1053649624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA-18549) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3279) |
| 183500000X Pharmacist (Licence: NE 13587) | |
| 183500000X Pharmacist (Licence: NV 18463) | |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2014-07-29 |