| NPI | 1205236171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 55629) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00008280) |
| 183500000X Pharmacist (Licence: MD 22736) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2022-03-30 |