| NPI | 1134441397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 10880) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 22716) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |