| NPI | 1336485721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 36808) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 36808) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2019-09-24 |