| NPI | 1063780278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 15387) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR rph-0012887) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2019-04-19 |