| NPI | 1477780831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18093) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3217) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2010-09-13 |