| NPI | 1154688679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2008027487) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S015143) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |