| NPI | 1972871077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 48239) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P010624) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |