| NPI | 1093142671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448256) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 21997) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |