| NPI | 1659655306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49878) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH024382) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2018-08-07 |