| NPI | 1639434699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 18247) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 51206) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |