| NPI | 1093054876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP439756) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP004883) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |