| NPI | 1255646345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 76991201701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 76991208911) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |