| NPI | 1639573207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 017950) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P12257) |
| 183500000X Pharmacist (Licence: TX 49912) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |