| NPI | 1114170784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 8506) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM 4537) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |