| NPI | 1134535636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3749) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0020357) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2018-03-17 |