| NPI | 1174030118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 58641) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 55059) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |