| NPI | 1306126073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P6571) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 800057451701) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2012-07-13 |