| NPI | 1962748186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15352) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 31181) |
| Enumeration Date | 2012-12-15 |
| Last Update Date | 2012-12-15 |