| NPI | 1043587512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 15726) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 12438) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |