| NPI | 1538453543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 35602) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 16597) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |