| NPI | 1518309228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM 5980) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36922) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |