| NPI | 1669927166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0008098) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 54651) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |