| NPI | 1689917890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 19450) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 15933) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |