| NPI | 1750553418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2012042659) |
| 183500000X Pharmacist (Licence: TX 52571) | |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2013-06-21 |