| NPI | 1689946055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 019537) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 38483) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |