| NPI | 1225311657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18442) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13312) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |