| NPI | 1689955817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 53020224336) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40776) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |