| NPI | 1417354291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s020603) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM rp00008196) |
| 183500000X Pharmacist (Licence: TX 32336) | |
| 183500000X Pharmacist (Licence: FL ps27723) | |
| Enumeration Date | 2014-11-22 |
| Last Update Date | 2014-11-22 |