| NPI | 1386893980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17753) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2011-03-22 |