| NPI | 1033408893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA ph27289) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45977) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-11-22 |