| NPI | 1174812671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 33542) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15526) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-07-14 |