| NPI | 1619219748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 023694) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |