| NPI | 1215263868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 39895) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15261) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |