| NPI | 1003005505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 14469) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 4736) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2014-08-01 |