| NPI | 1972735520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000007288) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 28540) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |