| NPI | 1447680384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 20238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3353) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2021-04-16 |