| NPI | 1871960781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 20966) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3840) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-08-20 |