| NPI | 1053608679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI 03289) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 6489) |
| 183500000X Pharmacist (Licence: MA 25398) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2011-07-04 |