| NPI | 1265621379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19235) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00006997) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2013-04-29 |