| NPI | 1003192733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16222) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 21292) |
| 183500000X Pharmacist (Licence: CA 63875) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |