| NPI | 1215204441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 12947) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20912) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |