| NPI | 1629483441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20011) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ME PR3708) |
| 183500000X Pharmacist (Licence: CO 16770) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-09-05 |