| NPI | 1518241496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48939) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 17533) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |