| NPI | 1023345063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 39634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 18936) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |