| NPI | 1316251804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000034060) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302022839) |
| 183500000X Pharmacist (Licence: TX 37576) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |