| NPI | 1194009183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 11792-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP030753L) |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |