| NPI | 1265641757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 12064) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1486) |
| 183500000X Pharmacist (Licence: WA ph21191) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-23 |