| NPI | 1275080715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54468) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013809) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |