| NPI | 1457751927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 61681) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 021797) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2022-10-13 |