| NPI | 1174857973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18034) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3256) |
| 183500000X Pharmacist (Licence: NC 19690) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |