| NPI | 1013292176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12886) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20742) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |