| NPI | 1417008913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 20666) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 39017) |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2016-06-15 |