| NPI | 1205265808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020151) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53763) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2014-08-23 |