| NPI | 1508151093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56446) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 61069) |
| 183500000X Pharmacist (Licence: FL PS41908) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-07-24 |