| NPI | 1629385018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM 6978) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35425) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |