| NPI | 1063623114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 5322) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS43468) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2011-10-05 |