| NPI | 1972835197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2001023396) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 113358) |
| 183500000X Pharmacist (Licence: TX 40489) | |
| 183500000X Pharmacist (Licence: FL PS37673) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |