| NPI | 1083900674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 6674153-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6674153-8911) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |