| NPI | 1780996157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16962) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 5152) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |