| NPI | 1487961553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007521) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48559) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |