| NPI | 1649278060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 27538) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 11056) |
| Enumeration Date | 2005-07-09 |
| Last Update Date | 2018-08-03 |