| NPI | 1548558364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 60583) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 36322) |
| 183500000X Pharmacist (Licence: FL PS42820) | |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2011-07-13 |