| NPI | 1063785822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 16068) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 12527) |
| 183500000X Pharmacist (Licence: FL PS30655) | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |