| NPI | 1245463645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps23357) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 004622) |
| 183500000X Pharmacist (Licence: MS 07692) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |