| NPI | 1265778666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps46620) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL pu7124) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |