| NPI | 1356758544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020237) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3660) |
| 183500000X Pharmacist (Licence: CO 0020073) | |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2014-11-20 |