| NPI | 1568743557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 2676) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 14112) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |