| NPI | 1174802409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 16982) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11572) |
| 183500000X Pharmacist (Licence: TX 34112) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |