| NPI | 1134599582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 11001) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41336) |
| 183500000X Pharmacist (Licence: VA 0202204863) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |