| NPI | 1609111293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52320) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120667) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |