| NPI | 1215168216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 5916523-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 11312) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |