| NPI | 1861793838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 34406) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10574) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |