| NPI | 1396072872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 14010) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47245) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2011-10-04 |