| NPI | 1477933869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 18449) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202208268) |
| 183500000X Pharmacist (Licence: TX 51190) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |