| NPI | 1407142458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S018302) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49561) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |