| NPI | 1215210265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13786) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 50796) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2013-05-08 |