| NPI | 1215342027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45129) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 351814-8911) |
| 183500000X Pharmacist (Licence: UT 351814-1701) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |