| NPI | 1649641325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 0020552) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 0605311) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |