| NPI | 1770910853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6593) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1999) |
| 183500000X Pharmacist (Licence: WA PH60302601) | |
| 183500000X Pharmacist (Licence: TX 52575) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |