| NPI | 1629528054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59247) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302039415) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |