| NPI | 1356692073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007793) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 19076) |
| 183500000X Pharmacist (Licence: IL 051286343) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |