| NPI | 1225194137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 25962) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012055) |
| 183500000X Pharmacist (Licence: NC 16090) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |