| NPI | 1407190788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20710) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 49164) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |