| NPI | 1154513539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 46164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208029) |
| 183500000X Pharmacist (Licence: NC 19340) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2009-09-02 |