| NPI | 1194127407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44310) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 018170) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |