| NPI | 1518240696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 12985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2392) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |