| NPI | 1952651036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0019590) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 3578) |
| Enumeration Date | 2012-09-15 |
| Last Update Date | 2012-09-15 |