| NPI | 1194954693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PR 5396) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS44726) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |