| NPI | 1609275551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 016124) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 43804) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |