| NPI | 1356721856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3690) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0019986) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |