| NPI | 1083951891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49833) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 52376) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2013-01-14 |