| NPI | 1114281896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 51943) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29501) |
| 183500000X Pharmacist (Licence: VA 0202211660) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2013-04-02 |