| NPI | 1366726853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID p6173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp442631) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2012-04-25 |