| NPI | 1952668899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45635) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 019751) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |