| NPI | 1629451570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH019843) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 22623) |
| 183500000X Pharmacist (Licence: LA 11473) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |