| NPI | 1083864128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 119391) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49134) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2010-08-27 |