| NPI | 1457794174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18428) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6565360-1701) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |