| NPI | 1285900381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19289) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 35395) |
| 183500000X Pharmacist (Licence: PA RP045253L) | |
| 183500000X Pharmacist (Licence: SC 011587) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |