| NPI | 1942516190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15113) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49349) |
| 183500000X Pharmacist (Licence: WV 7456) | |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2012-10-26 |