| NPI | 1861776452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54466) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 18137) |
| 183500000X Pharmacist (Licence: MO 2002020486) | |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2021-08-20 |