| NPI | 1093082901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 5187) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19497) |
| 183500000X Pharmacist (Licence: NE 12818) | |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2011-11-20 |