| NPI | 1982086187 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 29138)  | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 6341)  | 
| Enumeration Date | 2015-06-24 | 
| Last Update Date | 2015-06-24 |