| NPI | 1164787529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49635) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH023611) |
| 183500000X Pharmacist (Licence: VA 0202209590) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |