| NPI | 1124311774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 21451) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV 5107) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-17 |