| NPI | 1104130277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH R1424) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 21003) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |