| NPI | 1487940664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.017178) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 38705) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2011-06-25 |