| NPI | 1831423995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202206566) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35911) |
| 183500000X Pharmacist (Licence: FL PS35664) | |
| 183500000X Pharmacist (Licence: NC 13516) | |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |