| NPI | 1174883490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 14309) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 46193) |
| 183500000X Pharmacist (Licence: FL PS43451) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |