| NPI | 1255653275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 10103) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11696) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |