| NPI | 1710436092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59523)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302043383)  | 
| Enumeration Date | 2016-09-27 | 
| Last Update Date | 2016-09-27 |