| NPI | 1164718573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 14857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47325) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |