| NPI | 1063780930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302045256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39937) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2019-02-01 |