| NPI | 1114202603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12964) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20887) |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-15 |