| NPI | 1184851768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 15583) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42359) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-06-22 |