| NPI | 1871037762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 58204) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 021330) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-03-20 |