| NPI | 1831499524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60094089) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 57550) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2016-04-02 |