| NPI | 1407184617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 38223) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 5780) |
| Enumeration Date | 2009-11-27 |
| Last Update Date | 2009-11-27 |