| NPI | 1871887133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44174) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 57705) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2011-06-04 |