| NPI | 1407292436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 18064) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 26912) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |