| NPI | 1073683694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 11598-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302024046) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |