| NPI | 1770743767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17877) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2009-03-30 |