| NPI | 1316232358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33437) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49596) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2011-06-17 |