| NPI | 1336387547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302036092) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 20758) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2010-09-20 |