| NPI | 1225313083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps23922) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 6279860-1701) |
| 183500000X Pharmacist (Licence: UT 6279860-8911) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |