| NPI | 1760728620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55637) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15213) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2015-02-28 |