| NPI | 1518271683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007250) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 42892) |
| Enumeration Date | 2010-08-01 |
| Last Update Date | 2013-07-06 |