| NPI | 1093001281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 021033) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45786) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2015-10-28 |