| NPI | 1710242979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60258) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL P16914) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-03-27 |