| NPI | 1134401128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302027032) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS0038948) |
| 183500000X Pharmacist (Licence: TX 29552) | |
| 183500000X Pharmacist (Licence: CA 40908) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |