| NPI | 1326399106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 0330088566) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH 3856) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |