| NPI | 1184906273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52410) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP7735) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2021-06-23 |