| NPI | 1235415274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 51901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21907) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2018-08-24 |