| NPI | 1558795633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 015860) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29704) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |