| NPI | 1780979484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56539) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5032037289) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2019-01-24 |