| NPI | 1134476518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202204234) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH22320) |
| Enumeration Date | 2012-08-05 |
| Last Update Date | 2013-03-05 |