| NPI | 1285018044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 017811) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55070) |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2015-07-11 |