| NPI | 1114121191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM 5553) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 28198) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-03-30 |