| NPI | 1104180983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 17612) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007085) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |