| NPI | 1609162171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 47420) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2014-02-23 |