| NPI | 1144659004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 17255) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42914) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |