| NPI | 1215267620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17838) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |