| NPI | 1821241076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 46386) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 018421) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |