| NPI | 1215189790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 010736) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS43360) |
| 183500000X Pharmacist (Licence: AL 15391) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |