| NPI | 1629352539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 18643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47232) |
| 183500000X Pharmacist (Licence: MD 17798) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |