| NPI | 1083997423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45750) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS040813) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |