| NPI | 1306153663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp439870) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps41550) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |