| NPI | 1134400427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP438448) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: RI RPH04780) |
| 183500000X Pharmacist (Licence: AZ S011258) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2013-05-14 |