| NPI | 1235657792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 76654) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49401) |
| 183500000X Pharmacist (Licence: UT 8280116-1701) | |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |