| NPI | 1538434469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2010027776) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48735) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2012-03-10 |