| NPI | 1518099076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH00065407) |
| 183500000X Pharmacist (Licence: WY 3149) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2010-04-25 |