| NPI | 1811298581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 15001) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2794) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |