| NPI | 1629387907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18802) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3365) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2019-11-20 |