| NPI | 1265744304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 11706) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 14868) |
| 183500000X Pharmacist (Licence: TX 39171) | |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |