| NPI | 1518108661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49043) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 61854) |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2011-09-20 |