| NPI | 1376976662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19202) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 18226) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |