| NPI | 1932415783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WY 3045) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S014870) |
| 183500000X Pharmacist (Licence: TX 50036) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2014-04-05 |