| NPI | 1952501538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 1730340) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45206) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2014-10-18 |