| NPI | 1639452832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 15771) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 18359) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2013-03-24 |