| NPI | 1144560103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 28898) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 50770) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |