| NPI | 1710215892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47670) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015264) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2020-07-01 |