| NPI | 1497193064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52667) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 14991) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |