| NPI | 1316073307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E07593) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 07705) |
| 183500000X Pharmacist (Licence: LA 17894) | |
| 183500000X Pharmacist (Licence: MT 3679) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |