| NPI | 1790743938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 11135) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2022) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-07-08 |