| NPI | 1336141605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 14801) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2749) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2007-10-07 |