| NPI | 1003100256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0011213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA ph232501) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |