| NPI | 1063783686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS46992) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302037908) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |