| NPI | 1124301288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 16651) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-09072) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |