| NPI | 1225318702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19152) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0006449) |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |