| NPI | 1457687063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 47701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S017717) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2011-08-17 |