| NPI | 1255688776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA 019865) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-12689) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |