| NPI | 1558648220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 14750) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 23178) |
| 183500000X Pharmacist (Licence: WY 2664) | |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |