| NPI | 1104100056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 29078) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 0008330) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |