| NPI | 1386040293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2642) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 14341) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2015-07-29 |