| NPI | 1164711875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21630) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 12752) |
| 183500000X Pharmacist (Licence: TX 47997) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2013-07-16 |