| NPI | 1962789347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1753) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 28672) |
| 183500000X Pharmacist (Licence: CO 12615) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |