| NPI | 1295190015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21321) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 68039) |
| 183500000X Pharmacist (Licence: TX 50519) | |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |