| NPI | 1942584586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202209776) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 44803) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |