| NPI | 1568798247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 38874) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 15385) |
| Enumeration Date | 2009-10-30 |
| Last Update Date | 2009-10-30 |