| NPI | 1932401312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45818) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18996) |
| 183500000X Pharmacist (Licence: VA 0202209578) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2015-03-01 |