| NPI | 1154769651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0009183) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.016381) |
| 183500000X Pharmacist (Licence: TX 35633) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |