| NPI | 1740576636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 27745811701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 27745818911) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |