| NPI | 1114255700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44306) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2004031013) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |