| NPI | 1194159459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps24956) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13485) |
| 183500000X Pharmacist (Licence: TX 37772) | |
| 183500000X Pharmacist (Licence: OH 03318412) | |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |