| NPI | 1023155538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 38967) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PU 5951) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |