| NPI | 1902273915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 57023) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00008422) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |