| NPI | 1851588867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 40676) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 16807) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |