| NPI | 1154766681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11015) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29088) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |