| NPI | 1922382993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 16973) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45092) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |