| NPI | 1124260302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 19339) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP442747) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-05-23 |