| NPI | 1205473006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 22859) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 4172) |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |