| NPI | 1922385517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48408) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 9995) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |