| NPI | 1215217948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: UT 7321536-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 9703) |
| 183500000X Pharmacist (Licence: AZ 8603) | |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |