| NPI | 1083917371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012034) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps24938) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |