| NPI | 1245648948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43649) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 17900) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-28 |