| NPI | 1760756480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 14094) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS29943) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |