| NPI | 1467764878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21009) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48954) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2013-09-20 |