| NPI | 1083159271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3087) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17323) |
| 183500000X Pharmacist (Licence: FL 41923) | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2018-04-10 |