| NPI | 1295034999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0007548) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 52427) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2013-01-23 |