| NPI | 1285987727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MA 24639) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP-038651-T) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |