| NPI | 1740562354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 20667) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202009984) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2011-09-10 |