| NPI | 1851398515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207155) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 9194) |
| 183500000X Pharmacist (Licence: CO 11967) | |
| 183500000X Pharmacist (Licence: TX 45114) | |
| 183500000X Pharmacist | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-07-08 |