| NPI | 1124411210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 15521) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 34971) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |