| NPI | 1356489199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 12676) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44142) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-11-16 |