| NPI | 1144634759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH027625) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52891) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |