| NPI | 1366641912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 12846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH019430) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-10-27 |