| NPI | 1295163392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202206159) |
| 183500000X Pharmacist (Licence: MD 16318) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |