| NPI | 1932452612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 13676) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31289) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |