| NPI | 1619223781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 56069) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps49244) |
| 183500000X Pharmacist (Licence: LA PS020029) | |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2015-11-09 |