| NPI | 1871586339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 20170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31899) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2010-11-15 |