| NPI | 1407258759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0019546) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17443-40) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |