| NPI | 1104156348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S015433) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP440106) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |