| NPI | 1174751317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH011086) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31461) |
| 183500000X Pharmacist (Licence: NV 17346) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |