| NPI | 1134325939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 19171) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 2420) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-08 |