| NPI | 1922373752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 17143) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3116) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2012-03-12 |