| NPI | 1518249218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 42957) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 26633) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |