| NPI | 1699058842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY TL3796) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PH18202) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2017-03-02 |