| NPI | 1215480199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52796) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014498) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |