| NPI | 1447673801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24626) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 53074) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2015-04-21 |