| NPI | 1063551927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE PENDING) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 8056) |
| 183500000X Pharmacist (Licence: PA RP039890L) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |