| NPI | 1215222351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 21345) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12978) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2014-12-02 |