| NPI | 1124350319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6329917-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16420) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |