| NPI | 1376855205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 11297) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA 52236) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2010-07-08 |