| NPI | 1043598667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD R5984) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 18491) |
| Enumeration Date | 2011-07-31 |
| Last Update Date | 2013-09-27 |