| NPI | 1023300209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 011524) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 18712) |
| 183500000X Pharmacist (Licence: MI 5302034173) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2011-05-06 |