| NPI | 1508104522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52419) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8332) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |