| NPI | 1710295308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49045) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34266) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |