| NPI | 1184066573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 8681694-1721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53172) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |