| NPI | 1578893756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52880) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S011926) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2013-06-26 |