| NPI | 1093195513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 53974) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 115997) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |