| NPI | 1144503210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2010027158) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52105) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2014-12-10 |