| NPI | 1083996474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP441986) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P5895) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |