| NPI | 1124308614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17305) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps37595) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |