| NPI | 1174818074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 18138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202205745) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |