| NPI | 1710353578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 35996) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 32414) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |