| NPI | 1457621542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50048) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48362) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2013-10-29 |