| NPI | 1588946735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007555) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 20049) |
| 183500000X Pharmacist (Licence: TX 50050) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |