| NPI | 1255518304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 118980) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 0019397) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-09-10 |