| NPI | 1821349424 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50829) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 19580) | 
| Enumeration Date | 2012-09-24 | 
| Last Update Date | 2012-09-24 |