| NPI | 1548682669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 13361) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31659) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |