| NPI | 1780027219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 11190) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 11211) |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |