| NPI | 1104098359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00006800) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45145) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |