| NPI | 1144557513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47365) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 46321) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2011-12-16 |