| NPI | 1649645821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 51752) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.020008) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |