| NPI | 1104199231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202205906) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16799) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |