| NPI | 1104143767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 14721) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 10440) |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2010-04-22 |