| NPI | 1407124191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15979) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48290) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |