| NPI | 1588100614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 60011) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 55955) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |