| NPI | 1366888430 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52181)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 67191)  | 
| Enumeration Date | 2013-05-16 | 
| Last Update Date | 2013-05-16 |