| NPI | 1174061295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59848) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 22160) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |