| NPI | 1396147286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 020617) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 55655) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |