| NPI | 1255438917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 27433) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 9347) |
| 183500000X Pharmacist (Licence: TN 11840) | |
| 183500000X Pharmacist (Licence: NE 12236) | |
| 183500000X Pharmacist (Licence: MI 033937) | |
| 183500000X Pharmacist (Licence: LA 17557) | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |