| NPI | 1356601595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2007028063) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 20524) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |