| NPI | 1043565245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021540) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 46946) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2015-10-26 |