| NPI | 1235204819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 11308) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29399) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |