| NPI | 1154650109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017378) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA 18766) |
| 183500000X Pharmacist (Licence: MT 6336) | |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2010-10-04 |