| NPI | 1821311788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 21610) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17609) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2019-04-13 |