| NPI | 1134464555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45344) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 12452) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |