| NPI | 1003171067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 33649) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |