| NPI | 1245513415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT 0009912) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA 22063) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |