| NPI | 1205196888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20278) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA Rp446454) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2012-05-17 |