| NPI | 1720116957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 17097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17225) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |