| NPI | 1295005817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS 35728) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 18929) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |