| NPI | 1235502568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008315) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55202) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2016-01-15 |