| NPI | 1073841292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 32390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 14310) |
| Enumeration Date | 2009-11-29 |
| Last Update Date | 2009-11-29 |