| NPI | 1043547136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 18619) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 7753) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2009-11-10 |