| NPI | 1255639217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43429) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000299) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |