| NPI | 1922583749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00008938) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 62716) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |