| NPI | 1508152802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 13886) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29010) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2011-06-24 |