| NPI | 1225461916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 20056) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 020220) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2020-08-05 |