| NPI | 1558640243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00006899) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 15891) |
| 183500000X Pharmacist (Licence: CA RPH 54424) | |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |