| NPI | 1740600121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17727) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 32054) |
| 183500000X Pharmacist (Licence: TX 35293) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |