| NPI | 1710219373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 13211) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40001) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2011-08-21 |