| NPI | 1134404924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16026) |
| 183500000X Pharmacist (Licence: NE 13550) | |
| 183500000X Pharmacist (Licence: HI 2752) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-14 |