| NPI | 1598067027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20036) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45379) |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2010-12-05 |