| NPI | 1144524687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 17842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 43923) |
| Enumeration Date | 2010-12-25 |
| Last Update Date | 2010-12-25 |