| NPI | 1154601896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 13703) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 10179) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |