| NPI | 1306199989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13843) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 21822) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |