| NPI | 1003167180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 8168) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 10901) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |