| NPI | 1295016137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16019) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44561) |
| 183500000X Pharmacist (Licence: LA 18703) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |