| NPI | 1285766014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47257) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2005007712) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2011-06-20 |