| NPI | 1114219888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6492) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 5659) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |