| NPI | 1801854229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5409100-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40066) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2007-08-02 |