| NPI | 1245504000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 14571) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 14751) |
| 183500000X Pharmacist (Licence: TN 36316) | |
| 183500000X Pharmacist (Licence: CA 67976) | |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2012-09-11 |