| NPI | 1922388354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24891) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 50445) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2019-10-18 |