| NPI | 1407105182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15410) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-01-02 |