| NPI | 1659706109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP6190) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 37849) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |