| NPI | 1639410863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 16438) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |