| NPI | 1093152126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 356540-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15043) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |