| NPI | 1700201753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 41682) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0011013) |
| 183500000X Pharmacist (Licence: IA 17612) | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |