| NPI | 1568574614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 10909) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 1021) |
| 183500000X Pharmacist (Licence: TX 23541) | |
| 183500000X Pharmacist (Licence: CO 19302) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-02-08 |