| NPI | 1326295569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps 33945) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL pu 6253) |
| 183500000X Pharmacist (Licence: TX 34532) | |
| 183500000X Pharmacist (Licence: CA 48909) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |