| NPI | 1346534013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps22736) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29105) |
| 183500000X Pharmacist (Licence: CA 40086) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |