| NPI | 1568742294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph26076) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 16533) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |