| NPI | 1528361086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007250) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA-18100) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |