| NPI | 1174800544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 24732) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 9558) |
| 183500000X Pharmacist (Licence: CO pha0019598) | |
| Enumeration Date | 2011-11-13 |
| Last Update Date | 2012-10-01 |