| NPI | 1043244551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017147) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 118491-2) |
| 183500000X Pharmacist (Licence: SD 5285) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-05-24 |