| NPI | 1023394921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 14030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00003786) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-26 |