| NPI | 1083981039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 17913) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE NE10599) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |